Individual
DR. JOWELLA REAL PINEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1941 ROHLWING RD, ROLLING MEADOWS, IL 60008-1338
(847) 618-0850
(847) 618-0859
Mailing address
1941 ROHLWING RD, ROLLING MEADOWS, IL 60008-1338
(847) 618-0850
(847) 618-0859
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036144125
IL
207R00000X
Internal Medicine Physician
4301103257
MI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
036144125
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036144125
STATE LICENSE
IL
Enumeration date
01/26/2010
Last updated
09/14/2021
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